Provider Demographics
NPI:1073761508
Name:LABYRINTH AUDIOLOGY
Entity Type:Organization
Organization Name:LABYRINTH AUDIOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ALI
Authorized Official - Middle Name:A
Authorized Official - Last Name:DANESH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:561-807-7873
Mailing Address - Street 1:1000 NW 9TH CT STE 203
Mailing Address - Street 2:DANIEL MEDICAL CENTRE
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486-2268
Mailing Address - Country:US
Mailing Address - Phone:561-807-7873
Mailing Address - Fax:561-807-7947
Practice Address - Street 1:1500 NW 10TH AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486
Practice Address - Country:US
Practice Address - Phone:561-807-7873
Practice Address - Fax:561-807-7947
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-09
Last Update Date:2022-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY953231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty